Fremont Indemnity Co. v. Workers' Compensation Appeals Board

153 Cal. App. 3d 965, 200 Cal. Rptr. 762, 49 Cal. Comp. Cases 288, 1984 Cal. App. LEXIS 1841
CourtCalifornia Court of Appeal
DecidedMarch 29, 1984
DocketB001126
StatusPublished
Cited by18 cases

This text of 153 Cal. App. 3d 965 (Fremont Indemnity Co. v. Workers' Compensation Appeals Board) is published on Counsel Stack Legal Research, covering California Court of Appeal primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook
Fremont Indemnity Co. v. Workers' Compensation Appeals Board, 153 Cal. App. 3d 965, 200 Cal. Rptr. 762, 49 Cal. Comp. Cases 288, 1984 Cal. App. LEXIS 1841 (Cal. Ct. App. 1984).

Opinion

Opinion

DANIELSON, J.

Petitioner Fremont Indemnity Company petitions for review and annulment of an order of the Workers’ Compensation Appeals *968 Board (Board) finding that the applicant sustained an injury to the right hip. We annul the order and remand the cause for further proceedings.

Facts

Applicant and respondent Henry H. Zepeda (applicant) filed a claim for workers’ compensation benefits alleging industrial injury to his back and right leg on March 18, 1976, against Service Greeting Card Company and its insurer Fremont Indemnity. In early 1978, the applicant had surgery to his hip, including a total hip replacement. At the trial on January 8, 1979, the applicant added the allegation of a right hip injury. Petitioner, insurance carrier Fremont Indemnity, contested injury to the right hip. Dr. Charles Bechtol, a specialist in implant surgery, was appointed as an independent medical examiner. In a report to the Board dated August 31, 1981, Dr. Bechtol stated, “For the hip, this injury is not industrially caused. . . . The total hip however, pre-existed the injury and is not aggrevated [sic] by it.”

Dr. Bechtol was deposed on February 8, 1982. At that time he testified that “I think that reasonable medical probability would indicate that the X-rays show an old condition [in the hip] called Perthes’ disease plus some wear and tear changes in the hip. Whether the accident added to these in my opinion is doubtful in the view of his history of activity since the accident.” The deposition concluded with the following:

“Q. And based upon all that you read and the history that you took from Mr. Zebeda [j/c], you reached conclusions in your report of August 31 that the hip problem was not related to the workers injury; is that true?
“A. Yes, that’s correct.
“Q. And are you still of that opinion?
“A. Yes, I am.”

After the deposition, the workers’ compensation judge (WCJ) telephoned Dr. Bechtol and asked Dr. Bechtol some additional questions about the matter. In the opinion on decision, the WCJ described his contact with Dr. Bechtol as follows: “Because of what was conceived to be the equivocal nature of [Dr. Bechtol’s] testimony . . . the undersigned communicated by telephone with Dr. Bechtol in an attempt to clarify the record. In response to our request, two supplemental reports were submitted. (Please see the undersigned’s statement attached.) Said reports . . . have been stricken due *969 to counsel for Fremont Indemnity Company’s objection to the indicated communication and because the record was complete without them.”

In the first report following the first telephone call, dated June 29, 1982, Dr. Bechtol changed his opinion, stating “Regarding the evaluation of Henry Zepeda in my opinion the injury of April 1976 is not the cause of the difficulty in his hip leading to the total hip implant which was done in March of 1978. The injury may however, have excellerated [szc] the need to have this surgery performed by several years.”

The WCJ telephoned Dr. Bechtol a second time, after which Dr. Bechtol issued two further reports. In a report dated July 29, 1982, Dr. Bechtol stated that “the injury did, however excellerate [szc] the need to have this surgery performed by several years.”

In another report dated October 20, 1982, Dr. Bechtol stated, “At your request I have reviewed the extensive file in the case of Henry H. Zepeda.

“Conclusion: On the basis of the material available at this time my opinion are [sz'c] as follows. (1) There was clearly a pre-existing condition in the hip probably Perthe’s disease. (2) the injury of 3/18/76 aggreviated [szc] the previously existing condition of the hip. This is based on the history that the hip had previously been nonpainful and following the injury became painful. The operative report of 3/17/78 indicates that there was indeed sufficient damage to the hip joint to justify a total hip implant. (3) The injury undoubtedly excellerated [szc] the time at which the total hip implant became necessary. ... (5) I would apportion his disability as 80% pre-existing and 20% due to the injury of 3/18/76.”

The WCJ stated, in his opinion on decision, that the two reports were stricken from the record by the WCJ due to petitioner’s objection to the communication between him and Dr. Bechtol, and because the record was complete without them. Attached to the opinion on decision was a written “Statement” of the WCJ that “The one and only telephone conversation that the undersigned has had with Charles O. Bechtol, M.D. was during or about the month of May, 1982 after the transcript of his February 8, 1982 deposition had been submitted. The purpose was to elicit from the doctor his unequivocal opinion as to what effect, if any, the alleged injury of March 18, 1976 had on the development of the condition diagnosed as Perthe’s Disease. An appropriate question or appropriate questions were propounded to accomplish this purpose.”

*970 Petitioner Fremont Indemnity petitioned the Board for reconsideration of the case contending, inter alia, that petitioner was denied a fair trial and due process of law because of the WCJ’s improper contact with the independent medical examiner after the case had been submitted for decision, which elicited three different reports from the examiner, which altered the examiner’s opinion of the hip injury from one of noncompensability to partial compensability. In his “Report and Recommendation on Petition for Reconsideration,” the WCJ conceded that he had had two telephone conversations with the independent medical examiner, and asserted that when the examiner had rendered his first report, he had based his opinion “on incorrect premises,” but that in the examiner’s subsequent reports, he had been “apprised of the correct legal principles involved.” This gave rise to the change of opinion reflected in the later reports.

The Board denied reconsideration, stating that “we do not find that the WCJ made an improper contact with the IME which destroyed the value of the IME’s opinion or his ability to render an impartial independent evaluation” and that because the parties subsequently had an opportunity to cross-examine Dr. Bechtol on the substance of the telephone conversations, petitioner was not denied due process of law.

Discussion

The issue presented in this review is whether the workers’ compensation judge denied petitioner a fair trial and due process of law by contacting and talking with the independent medical examiner by telephone and obtaining additional medical reports from him after the case had been submitted. 1

The Workers ’ Compensation Appeals Board Exercises a Portion of the Judicial Powers of the State and, in Legal Effect, Is a Court. It Must Observe the Constitutional Mandates of Due Process of Law.

The Workers’ Compensation Appeals Board is a tribunal of limited jurisdiction, with those powers conferred upon it by the Constitution and the statutes of California. (Cal. Const., art. XIV, § 4; Lab. Code, §§ 111, 5300 et seq.; Marcus v.

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Cite This Page — Counsel Stack

Bluebook (online)
153 Cal. App. 3d 965, 200 Cal. Rptr. 762, 49 Cal. Comp. Cases 288, 1984 Cal. App. LEXIS 1841, Counsel Stack Legal Research, https://law.counselstack.com/opinion/fremont-indemnity-co-v-workers-compensation-appeals-board-calctapp-1984.